Electronic Government: ICU Equipment in Ecuadorian Hospitals in Epidemiological Emergencies, Case of IESS Hospital Machala

Abstract

A decade ago it was necessary and imminent that the IESS Machala Level II Hospital, a reference to Social Security in the Province of El Oro, can have medical equipment to implement the first Intensive Care Unit in its facilities. The high figures for referrals of patients to private clinics transferring them within the city of Machala and to other more complex Level III Hospitals in other provinces such as Guayaquil, the Teodoro Maldonado Carbo Hospital and in Cuenca the José Carrasco Arteaga Hospital, were a constant that they made an ordeal and caused delays in which the life of a patient is crucial. Subsequently, these health homes also did not attend to patients because they did not have space and beds to house them, referring them to private clinics who had particular agreements with the IESS. The present work shows the great challenge of acquiring medical equipment through the public procurement portal and its contracting modalities according to the LOSNCP promulgated in 2008 and in an efficient manner the first ICU was formed at the IESS Hospital Machala capital of the province of El Oro in 2010 to provide this important service with "quality and warmth" and its current incidence for the benefit and contribution to patients of the social security and the Ministry of Public Health and its degree of importance in the event of an emergency health by Covid.19 nationwide.